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Found 1,324 results
  1. Content Article
    Patient safety is typically seen as a strategic priority. This sounds important, but it means that, in practice, health and social care decision-makers will weigh (and inevitably trade-off) the importance of patient safety against other priorities, like finances, resources or efficiency. We believe that patient safety is not just another priority: it is part of the purpose of health care. Patient safety should not be negotiable. Our report, A Blueprint for Action, sets out the action needed to progress towards the patient-safe future. Underpinned by systemic analysis and evidence, it proposes practical actions to address the six foundations of safer care for patients. These foundations are shared learning, leadership, professionalising patient safety, patient engagement, data and insight, and Just Culture.
  2. Content Article
    On 17 September 2019, we contributed to the first-ever World Patient Safety Day by releasing three short videos, with information about our thinking and proposed action to address unsafe care. Leadership for patient safety Patient safety is a purpose of health and social care Shared learning for patient safety
  3. Content Article
    The World Health Organization (WHO) began when the Constitution came into force on 7 April 1948 – a date that is now celebrated every year as World Health Day. The WHO are now more than 7000 people from more than 150 countries working in 150 country offices, in six regional offices and at headquarters in Geneva.
  4. Content Article
    Through collaboration with patients, caregivers and people working in healthcare, Healthcare Excellence Canada turns proven innovations into lasting improvements in all dimensions of healthcare excellence. Healthcare Excellence Canada focuses on improving care of older adults, bringing care closer to home with safe transitions, and supporting pandemic recovery and resilience – with safety and quality embedded across all our efforts. They are committed to fostering inclusive and equitable care through meaningful partnerships with different groups, including patients and caregivers, First Nations, Inuit and Métis, healthcare providers and more.  Launched in 2021, Healthcare Excellence Canada brings together the former Canadian Patient Safety Institute and Canadian Foundation for Healthcare Improvement. Healthcare Excellence Canada is an independent, not-for-profit charity funded primarily by Health Canada. 
  5. Content Article
    The US Agency for Healthcare Research (AHRQ): invests in research on the US's health delivery system that goes beyond the "what" of healthcare to understand "how" to make healthcare safer and improve quality creates materials to teach and train health care systems and professionals to put the results of research into practice generates measures and data used by providers and policymakers.
  6. Content Article
    For more than 25 years, the US Institute for Healthcare Improvement (IHI) has used improvement science to advance and sustain better outcomes in health and health care across the world. They bring awareness of safety and quality to millions, accelerate learning and the systematic improvement of care, develop solutions to previously intractable challenges, and mobilise health systems, communities, regions, and nations to reduce harm and deaths. They work in collaboration with the growing IHI community to spark bold, inventive ways to improve the health of individuals and populations. They generate optimism, harvest fresh ideas, and support anyone, anywhere who wants to profoundly change health and health care for the better.
  7. Content Article
    The General Medical Council (GMC) work to protect patient safety and support medical education and practice across the UK. They do this by working with doctors, employers, educators, patients and other key stakeholders in the UK's healthcare systems.
  8. Content Article
    As the professional regulator of nurses and midwives in the UK, and nursing associates in England, the Nursing and Midwifery Council work to ensure these professionals have the knowledge and skills to deliver consistent, quality care that keeps people safe.
  9. Content Article
    Creating a culture where staff are empowered to speak up is important. Equally important to keep patients safe, is that serious incidents – and the complaints that often follow them – are treated as an opportunity for learning.  NHS organisations and their staff must take accountability for making improvements to patient safety. But accountability has too often been taken to mean ‘blame’. If staff fear being blamed, it is much harder to understand what went wrong, why, and how to reduce the chances it will happen again.  This blog by Kate Eisenstein, Assistant Director of Insight and Public Affairs at the Parliamentary and Health Service Ombudsman, discusses the importance of learning from mistakes and creating a culture of positive accountability.
  10. Content Article
    The fair treatment of staff supports a culture of fairness, openness and learning in the NHS by making staff feel confident to speak up when things go wrong, rather than fearing blame. Supporting staff to be open about mistakes allows valuable lessons to be learnt so the same errors can be prevented from being repeated. In any organisations or teams where a blame culture is still prevalent, this guide will be a powerful tool in promoting cultural change.
  11. Content Article
    A Just Culture guide helps NHS managers ensure staff involved in a patient safety incident are treated fairly, and supports a culture of openness to maximise opportunities to learn from mistakes.
  12. Content Article
    In 2016, thirteen organisations from health, social care and local government came together to create the Developing People Improving Care framework, an evidence-based national framework to guide action on improvement skill-building, leadership development and talent management for people in NHS-funded roles. One year on, NHS Improvement highlight some of the work taking place, demonstrating the steps people are already taking to ensure systems of compassion, inclusion and improvement are at the core of the health and care system. They also set out plans for the year ahead and some of the steps you can take to learn more about the framework.
  13. Content Article
    Improving patient experience is not simple. As well as effective leadership and a receptive culture, trusts need a wholesystems approach to collecting, analysing, using and learning from patient feedback for quality improvement. Without such an approach it is almost impossible to track, measure and drive quality improvement. NHS Improvements framework brings together the characteristics of trusts that consistently improve patient experience and enables them to carry out an organisational diagnostic to establish how far patient experience is embedded in its leadership, culture and its operational processes.
  14. Content Article
    The National Guardian’s Office is an independent, non-statutory body with the remit to lead culture change in the NHS so that speaking up becomes business as usual. The office is not a regulator, but is sponsored by the CQC, NHS England and NHS Improvement. 
  15. Content Article
    Everyone should be treated with dignity and respect at work. Bullying and harassment is unacceptable and constitutes a violation of human and legal rights that can lead to criminal prosecution and civil law claims. Employers have a duty of care to provide a safe and healthy working environment for their staff, and this is an implied term of every contract of employment. Bullying and harassment undermines physical and mental health, frequently resulting in poor work performance. Possible consequences include: insomnia and inability to relax loss of confidence and self-doubt loss of appetite hypervigilance and excessive double-checking of all actions inability to switch off from work.
  16. Content Article
    Richard Smith, former BMJ Editor and Chair of the Point of Care Foundation, finds out more about Schwartz rounds in this opinion article published in the BMJ.
  17. Content Article
    'Second victim' is the term used to refer to healthcare workers who are impacted by patient safety incidents. Whilst patients and families will always be the first priority following safety incidents, the well-being of the staff involved is often overlooked but can leave staff lacking confidence, unable to perform their job, requiring time off or leaving their profession.
  18. Content Article
    In 2017, The Point of Care Foundation made a film of a Schwartz round at Ashford and St Peter’s Hospitals NHS Trust. The full session lasted one hour – this is an edited version which aims to show what happens in a round. Schwartz rounds often tackle difficult emotional situations. This film deals with a particular case about a sick baby, which some viewers may find upsetting.
  19. Content Article
    This report by The Point of Care Foundation, looks at staff engagement in three NHS hospital trusts and provides insights into the views of staff and managers.
  20. Content Article
    This leaflet by NHS Employers (Wales) explains what bullying in the workplace is, how it can affect people and what to do about it.
  21. Content Article
    This report from the King's Fund explores in more detail the role of leaders in engaging a range of significant others in improving health and healthcare. 
  22. Content Article
    This guide published by the Agency for Healthcare Research & Quality (AHRQ) is a tested, evidence-based resource to help hospitals in the United States work as partners with patients and families to improve quality and safety.
  23. Content Article
    This report states that patient and public engagement has been on the NHS agenda for many years, but the impact has been disappointing. There have been a great many public consultations, surveys, and one-off initiatives, but it argues that the service is still not sufficiently patient-centred. In particular, it looks at a lack of focus on engaging patients in their own clinical care, despite strong evidence that this could make a real difference to health outcomes. This paper argues that a more strategic approach is required to create the necessary shift in beliefs, attitudes and behaviours.
  24. Content Article
    Professor Alison Leary, Patient Safety Learning Trustee, is Chair of the Healthcare & Workforce Modelling at London South Bank University. In this interview with Patient Safety Learning, Alison discusses why she got involved in patient safety and what needs to change to enable the NHS to become a high performing organisation.
  25. Content Article
    How can leaders ― with or without formal authority ― create psychological safety in healthcare? In this short video, Amy Edmondson, Novartis Professor of Leadership and Management at Harvard Business School, describes three key actions to foster a psychologically safe work environment.
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